| Abdominal Hysterectomy | $953$926$1.6k | $2,627 | $5,254 |
| ACL Reconstruction (Arthroscopic) | $5,162$899$11k | $8,387 | $16,774 |
| Allergy Skin Testing | $5$3$7 | $15 | $30 |
| Basic Metabolic Panel | $8$5$50 | $34 | $69 |
| Bone Marrow Biopsy | $913$57$2.5k | $444 | $888 |
| Breast Biopsy (Ultrasound-guided) | $1,247$134$2.5k | $1,029 | $2,058 |
| Bunion Correction Surgery | $663$486$837 | $1,951 | $3,902 |
| Cardiac Ablation for Atrial Fibrillation | $13,620$837$38k | $4,267 | $8,534 |
| Cardiac Catheterization (Left Heart) | $2,324$286$5.0k | $1,228 | $2,456 |
| Carpal Tunnel Release Surgery | $1,411$408$3.0k | $1,262 | $2,524 |
| Cataract Surgery with Lens Implant | $2,224$859$3.7k | $2,354 | $4,709 |
| Cervical Spinal Fusion (Anterior) | $2,344$1.6k$2.8k | $3,614 | $7,227 |
| Cesarean Delivery (Global Package) | $2,867$2.5k$3.5k | $4,020 | $8,039 |
| Chemotherapy Infusion (First Hour) | $316$181$518 | $286 | $572 |
| Chest X-ray (2 Views) | $78$10$175 | $65 | $130 |
| Colonoscopy with Biopsy | $1,012$181$1.8k | $1,305 | $2,610 |
| Complete Abdominal Ultrasound | $104$38$722 | $267 | $534 |
| Complete Blood Count (CBC) with Differential | $8$4$52 | $38 | $76 |
| Comprehensive Metabolic Panel | $10$6$53 | $44 | $88 |
| Coronary Angioplasty with Stent | $705$482$917 | $918 | $1,835 |
| Critical Care, First Hour | $822$198$3.0k | $487 | $975 |
| CT Abdomen and Pelvis with Contrast | $348$85$3.2k | $1,130 | $2,261 |
| CT Cardiac Calcium Scoring | $86$27$376 | $170 | $339 |
| CT Chest without Contrast | $104$49$1.2k | $438 | $877 |
| CT Head without Contrast | $104$39$1.2k | $432 | $865 |
| DEXA Bone Density Scan | $104$9$552 | $191 | $382 |
| Diagnostic Colonoscopy | $804$167$1.4k | $769 | $1,538 |
| Diagnostic Mammogram (Both Breasts) | $103$47$460 | $242 | $483 |
| Ear Tube Placement (Tympanostomy) | $1,070$140$2.3k | $1,494 | $2,988 |
| Echocardiogram (Complete with Doppler) | $535$108$856 | $339 | $678 |
| EKG (Electrocardiogram, 12-lead) | $17$15$19 | $17 | $34 |
| Emergency Room Visit (Level 3) | $270$69$678 | $164 | $327 |
| Group Therapy Session | $51$22$144 | $58 | $117 |
| Hemoglobin A1c (Diabetes Test) | $9$5$57 | $42 | $85 |
| HIV Antibody Test | $9$5$47 | $39 | $77 |
| Home Sleep Study | $153$27$244 | $249 | $497 |
| Individual Therapy Session (45 Minutes) | $110$88$251 | $97 | $193 |
| Inguinal Hernia Repair (Open) | $2,550$516$5.5k | $3,334 | $6,668 |
| Initial Hospital Admission (Level 1) | $86$74$113 | $179 | $358 |
| Initial Psychiatric Diagnostic Evaluation | $153$88$251 | $151 | $301 |
| Initial Psychiatric Evaluation with Medication Management | $157$88$251 | $156 | $311 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $564$316$1.9k | $1,572 | $3,144 |
| IUD Insertion | $72$63$867 | $266 | $531 |
| IUD Removal | $185$60$475 | $235 | $469 |
| Knee Arthroscopy with Meniscectomy | $2,345$516$5.1k | $2,957 | $5,913 |
| Laparoscopic Appendectomy | $4,216$572$9.1k | $5,355 | $10,711 |
| Laparoscopic Gallbladder Removal | $3,287$644$9.1k | $4,359 | $8,719 |
| Laparoscopic Tubal Ligation | $4,216$600$9.1k | $3,574 | $7,149 |
| Lipid Panel (Cholesterol Test) | $13$7$62 | $51 | $102 |
| Lumbar Epidural Steroid Injection | $675$90$1.5k | $120 | $240 |
| Lumbar Puncture (Spinal Tap) | $390$59$1.1k | $415 | $831 |
| Lumbar Spinal Fusion (Posterior) | $1,917$1.5k$2.8k | $4,318 | $8,636 |
| Lumpectomy (Partial Mastectomy) | $2,767$625$6.0k | $2,618 | $5,236 |
| MRI Abdomen with and without Contrast | $332$100$2.8k | $1,011 | $2,021 |
| MRI Brain with and without Contrast | $348$103$3.2k | $1,147 | $2,293 |
| MRI Brain with Contrast | $258$80$1.5k | $659 | $1,318 |
| MRI Brain without Contrast | $236$67$2.0k | $709 | $1,418 |
| MRI Cervical Spine (Neck) without Contrast | $236$67$2.1k | $734 | $1,468 |
| MRI Knee without Contrast | $236$62$2.0k | $1,340 | $2,681 |
| MRI Lower Back (Lumbar Spine) without Contrast | $236$69$2.0k | $725 | $1,450 |
| MRI Thoracic Spine (Mid-back) without Contrast | $236$69$2.0k | $724 | $1,448 |
| Newborn Circumcision | $1,195$86$3.2k | $444 | $888 |
| Nuclear Cardiac Stress Test | $1,151$75$2.0k | $559 | $1,118 |
| Office Visit, Established Patient (Level 3) | $87$53$520 | $89 | $177 |
| Office Visit, New Patient (Level 3) | $108$53$600 | $89 | $178 |
| Pacemaker Insertion (Dual Chamber) | $7,562$468$16k | $10,128 | $20,257 |
| PET/CT Scan, Whole Body | $1,423$108$4.2k | $2,790 | $5,579 |
| Pregnancy Ultrasound (Second or Third Trimester) | $84$47$358 | $140 | $281 |
| Prostate Biopsy | $1,775$165$3.2k | $401 | $802 |
| PSA Prostate Cancer Screening | $18$10$110 | $91 | $182 |
| Pulmonary Function Test with Bronchodilator | $225$10$486 | $123 | $247 |
| Rotator Cuff Repair (Arthroscopic) | $1,399$986$1.7k | $1,969 | $3,937 |
| Screening Mammogram | $111$35$380 | $185 | $370 |
| Septoplasty (Deviated Septum Repair) | $814$605$1.1k | $1,538 | $3,077 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $415$280$514 | $516 | $1,032 |
| Skin Biopsy (Tangential) | $47 | $79 | $159 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $95$75$105 | $126 | $252 |
| Sleep Study (In-lab Polysomnography) | $992$74$3.1k | $1,309 | $2,618 |
| Spinal Cord Stimulator Trial | $518$424$665 | $2,484 | $4,967 |
| Spirometry (Breathing Test) | $131$8$281 | $97 | $194 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,511$273$5.1k | $2,140 | $4,280 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,275$262$9.2k | $1,541 | $3,082 |
| Total Hip Replacement | $12,549$2.3k$21k | $11,642 | $23,284 |
| Total Knee Replacement | $11,947$1.2k$20k | $10,639 | $21,278 |
| Total Mastectomy | $5,751$933$10k | $5,218 | $10,436 |
| TSH Thyroid Function Test | $16$9$101 | $83 | $166 |
| TURP (Transurethral Prostate Resection) | $4,577$1.1k$7.9k | $3,081 | $6,161 |
| Upper GI Endoscopy (EGD) | $528$109$1.5k | $791 | $1,583 |
| Urinalysis with Microscopy | $3$2$25 | $11 | $22 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,400$2.3k$3.7k | $3,816 | $7,631 |
| Vaginal Delivery (Global Package) | $2,724$2.3k$3.5k | $3,809 | $7,618 |
| Vaginal Hysterectomy | $1,051$757$1.3k | $2,367 | $4,734 |
| Vasectomy | $1,137$212$3.2k | $962 | $1,924 |
| Vitamin D Blood Test | $29$16$153 | $126 | $252 |